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Review Article

Heavy Metal Toxicity: Impact on Human Health: A Review

Deepak Kumar Sharma, Risha J Nathan2 null, Rajeev Kumar3 null, A K Jain null

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Indian Journal of Forensic Medicine and Pathology 14(2 (Special Issue)):p 270-278, April-June 2021. | DOI: 10.21088/ijfmp.0974.3383.14221.37

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Sharma DK. Heavy metal toxicity: impact on human health: a review. Indian J Forensic Med Pathol. 2021;14(2 Special):270-8.

Timeline

Received : April 02, 2021         Accepted : April 20, 2021          Published : June 30, 2021

Abstract

The detrimental effects of heavy metals on human health are known as several health risks are associated with heavy metal toxicity. Rapid industrialization and enhanced use of metals in various industries resulted in the increased distribution of heavy metals in the environment. Industrial wastes in the form of liquid and gaseous effluents, as well as scrap in landfills are a major source of heavy metal pollution causing contamination of water bodies and the environment in general. These toxicants accumulate in the human body as individuals are exposed to them. The toxicity of heavy metals depends on various factors which include but not limited to amount of metal (dose), exposure duration, age, gender and health status of individuals. Heavy metals such as mercury, cadmium, arsenic, chromium, lead etc especially are of great concern for public health due to their acute toxicity. These metals are potent enough to induce multiple organ failure even at small concentrations. Studies have shown an association between heavy metals and carcinogenicity. In the present work, a comprehensive analysis of toxicity of eleven heavy metal namely, aluminum, antimony, arsenic, bismuth, cadmium, cobalt, iron, lead, mercury, tin and thallium has been reviewed along with their analytical aspects and management. Clinical features of metal toxicity with diagnosis techniques and treatment including hospitalization and post-hospitalization management are also elaborated.


References

  • 1.   Krewski D, Yokel RA, Nieboer E, Borchelt D, Cohen J, Harry J, et al. Human health risk assessment for aluminium, aluminium oxide, and aluminium hydroxide. J Toxicol Environ Health B Crit Rev. 2007;10 Suppl 1:1-269.
  • 2.   Jaiswal AK, Giri NG, Tandan M. Analytical aspects and management of antimony poisoning – a review. J Pharm Adv Res. 2019;2(1):452-7.
  • 3.   Jaiswal AK, Sharma K, Kumar S. Analytical aspects with brief overview of arsenic poisoning. J Indian Acad Forensic Med. 2012;34(3):248-54.
  • 4.   Jaiswal AK, Solanki S, Tandan M. Bismuth poisoning with analytical aspects and its management. Int J Med Lab Res. 2019;4(1):47-54.
  • 5.   Sikary AK, Jaiswal AK, Kumar S. Cadmium poisoning with analytical aspects and its management. Int J Curr Pharm Clin Res. 2015;5(1):25-32.
  • 6.   Dijkman M, Vries MS, Meulenbelt J. Cobalt poisoning by metal-on-metal hip prosthesis. Ned Tijdschr Geneeskd. 2012;156:A4983.
  • 7.   Jaiswal AK, Kumar R, Tandan M. Cobalt toxicity/poisoning with analytical aspects and its management. Int J Med Lab Res. 2019;4(3):21-8.
  • 8.   Jaiswal AK, Shubhangi N, Tandan M. Iron poisoning with analytical aspects and its management. Int J Med Lab Res. 2019;4(2):33-40.
  • 9.   Polyanskiy NG, Filipova NA. Analytical chemistry of the elements: lead. Moscow: Nauka; 1986. p. 18.
  • 10.   Thürmer K, Williams E, Reutt-Robey J. Autocatalytic oxidation of lead crystallite surfaces. Science. 2002;297(5589):2033-5.
  • 11.   Tétreault J, Sirois J, Stamatopoulou E. Studies of lead corrosion in acetic acid environments. Stud Conserv. 1998;43(1):17-32.
  • 12.   Jaiswal AK, Giri NG, Tandan M. Mercury poisoning – a review. Univ J Med Dent Sci. 2018;6(2):1-6.
  • 13.   Jaiswal AK, Bisht K, Tandan M. Tin toxicity with analytical aspects and its management. Int J Forensic Sci. 2019;2(2):78-83.
  • 14.   Douglas KT, Bunni MA, Baindur SR. Thallium in biochemistry. Int J Biochem. 1990;22(5):429-38.
  • 15.   Hasan H. The boron elements: boron, aluminum, gallium, indium, thallium. New York: Rosen Publishing Group; 2010.
  • 16.   Kumar R, Sikary AK, Jaiswal AK. Lead poisoning: analytical aspects and its management. Int J Biol Pharm Res. 2014;5(12):893-903.
  • 17.   Jaiswal AK, Sharma D, Kumar S. Thallium poisoning: analytical aspects with brief overview. J South India Medicolegal Assoc. 2012;4(2):68-75.
  • 18.   Jaiswal AK, Thakur A, Mehta K, Nayyer S, Ali Z. Aluminum poisoning with analytical aspects and its management. J Pharm Adv Res. 2020;3(3):804-10.
  • 19.   Lauwers LF, Roelofs A, Verstraete M. Antimony and its inorganic compounds. In: Rumack BH, editor. POISINDEX® System. Vol 66. Denver (CO): Micromedex, Inc.; 1990.
  • 20.   Kentner M, Leinemann M, Schaller KH, Weltle D, Lehnert G. External and internal antimony exposure in starter battery production. Int Arch Occup Environ Health. 1995;67(2):119-23.
  • 21.   Pomroy C, Charbonneau SM, McCullough RS, Tam GKH. Human retention studies with 74As. Toxicol Appl Pharmacol. 1980;53(3):550-6.
  • 22.   Vahter M, Norin H. Metabolism of 74As-labeled trivalent and pentavalent inorganic arsenic in mice. Environ Res. 1980;21(2):446-57.
  • 23.   Freeman GB, Schoof RA, Ruby MV, Davis AO, Dill JA, Liao SC, et al. Bioavailability of arsenic in soil and house dust impacted by smelter activities following oral administration in cynomolgus monkeys. Fundam Appl Toxicol. 1995;28(2):215-22.
  • 24.   Mappes R. Versuche zur Ausscheidung von Arsen im Urin. Int Arch Occup Environ Health. 1977;40(4):267-72. German.
  • 25.   Marafante E, Vahter M. Solubility, retention, and metabolism of intratracheally and orally administered inorganic arsenic compounds in the hamster. Environ Res. 1987;42(1):72-82.
  • 26.   Webb DR, Sipes IG, Carter DE. In vitro solubility and in vivo toxicity of gallium arsenide. Toxicol Appl Pharmacol. 1984;76(1):96-104.
  • 27.   Yamauchi H, Takahashi K, Yamamura Y. Metabolism and excretion of orally and intraperitoneally administered gallium arsenide in the hamster. Toxicology. 1986;40(3):237-46.
  • 28.   Cullen WR, Reimer KJ. Arsenic speciation in the environment. Chem Rev. 1989;89(4):713-64.
  • 29.   Delnomdedieu M, Basti MM, Otvos JD, Thomas DJ. Transfer of arsenite from glutathione to dithiols: a model of interaction. Chem Res Toxicol. 1993;6(5):598-602.
  • 30.   Lerman S, Clarkson TW. The metabolism of arsenite and arsenate by the rat. Fundam Appl Toxicol. 1983;3(4):309-14.
  • 31.   Winski SL, Carter DE. Interactions of rat red blood cell sulfhydryls with arsenate and arsenite. J Toxicol Environ Health. 1995;46(3):379-97.
  • 32.   Yamauchi H, Yamamura Y. Dynamic change of inorganic arsenic and methylarsenic compounds in human urine after oral intake as arsenic trioxide. Ind Health. 1979;17(2):79-83.
  • 33.   Tam GKH, Charbonneau SM, Bryce F, Pomroy C, Sandi E. Metabolism of inorganic arsenic (74As) in humans following oral ingestion. Toxicol Appl Pharmacol. 1979;50(2):319-22.
  • 34.   Buchet JP, Lauwerys R. Study of inorganic arsenic methylation by rat liver in vitro: relevance for the interpretation of observations in man. Arch Toxicol. 1985;57(2):125-9.
  • 35.   Kenyon EM, Hughes MF, Adair BM, Edwards BC. Dose-dependent effects on the disposition of monomethylarsonic acid and dimethylarsinic acid in the mouse after intravenous administration. J Toxicol Environ Health A. 1998;53(2):95-112.
  • 36.   Molin L, Wester PO. The estimated daily loss of trace elements from normal skin by desquamation. Scand J Clin Lab Invest. 1976;36(7):679-82.
  • 37.   Patrick L. Lead toxicity, a review of the literature. Part I: exposure, evaluation, and treatment. Altern Med Rev. 2006;11(1):2-22.
  • 38.   Karri SK, Saper RB, Kales SN. Lead encephalopathy due to traditional medicines. Curr Drug Saf. 2008;3(1):54-9.
  • 39.   Ohhira S, Matsui H. Metabolism of a tetraphenyltin compound in rats after a single oral dose. J Appl Toxicol. 2003;23(1):31-5.
  • 40.   Heim M, Wapperlhorst O, Markert B. Thallium in terrestrial environments: occurrence and effects. Ecotoxicology. 2002;11(5):369-77.
  • 41.   Polson CJ, Green MA, Lee MR. Clinical toxicology. 3rd ed. Philadelphia: J.B. Lippincott; 1983.

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Cite this article

Sharma DK. Heavy metal toxicity: impact on human health: a review. Indian J Forensic Med Pathol. 2021;14(2 Special):270-8.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
April 02, 2021 April 20, 2021 June 30, 2021

DOI: 10.21088/ijfmp.0974.3383.14221.37

Keywords

heavy metalsmetal toxicitypoisoningtechnique

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Received April 02, 2021
Accepted April 20, 2021
Published June 30, 2021

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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